Integrated mental health and substance abuse treatment within an assertive community (ACT) approach was compared to that a standard case management for 223 patients with dual disorders over three years. ACT showed greater improvements on some measures of quality life, but the groups were equivalent most measures, including stable days, hospital psychiatric symptoms, remission use disorder.

Optimal mental health care is dependent upon sensitive and early detection of problems. We have introduced a state-of-the-art method for the current study remote behavioral monitoring that transports assessment out clinic into environments in which individuals negotiate their daily lives. The objective this was to examine whether information captured with multimodal smartphone sensors can serve as markers one's health. hypothesized (a) unobtrusively collected sensor data would be associated...

A cognitive-behavioral therapy (CBT) program for posttraumatic stress disorder (PTSD) was developed to address its high prevalence in persons with severe mental illness receiving treatment at community health centers. CBT compared as usual (TAU) a randomized controlled trial 108 clients PTSD and either major mood (85%) or schizophrenia schizoaffective (15%), of whom 25% also had borderline personality disorder. Eighty-one percent assigned participated the program. Intent-to-treat analyses...

OBJECTIVE: The study examined the association between fidelity of programs to assertive community treatment model and client outcomes in dual disorders programs. METHODS: Assertive New Hampshire were classified as low-fidelity (three programs) or high-fidelity (four based on extensive longitudinal process data. included 87 clients with a diagnosis severe mental illness comorbid substance use disorder. Sixty-one programs, 26 Client domains abuse, housing, psychiatric symptoms, functional...

The authors examined the cumulative effects of work on symptoms, quality life, and self-esteem for 149 unemployed clients with severe mental illness receiving vocational rehabilitation. Nonvocational measures were assessed at 6-month intervals throughout 18-month study period, activity was tracked continuously. On basis their predominant over participants classified into 4 groups: competitive work, sheltered minimal no work. groups did not differ baseline any nonvocational measures. Using...

In this study we sought to understand the relationship between obtaining competitive employment and changes in nonvocational domains of functioning (symptoms, substance abuse, hospitalizations, self-esteem, quality life) persons with severe mental illness. A group 143 unemployed patients participating a vocational rehabilitation programs were assessed areas at baseline 6, 12, 18 months later. Statistical analyses examined work status follow-up assessments functioning, controlling for levels...

Several case studies indicate that clozapine use is associated with reductions in the of nicotine, alcohol, or illicit drugs. Although not designed to assess clozapine, this study explored a posteriori effects on alcohol and drug disorders among schizophrenia patients. Among 151 patients schizoaffective disorder co-occurring substance who were studied dual-disorder treatment program, 36 received during for standard clinical indications. All participants assessed prospectively at baseline...

The objective of this study was to evaluate the effectiveness a fitness health mentor program (In SHAPE) in improving physical and weight loss among overweight obese adults with serious mental illness.A randomized controlled trial conducted 133 persons illness body mass index (BMI) >25 who were assigned either In SHAPE (one year weekly sessions trainer plus club membership) or one membership education. Assessments at baseline three, six, nine, 12 months later.Participants had mean 231.8±54.8...

Few studies targeting obesity in serious mental illness have reported clinically significant risk reduction, and none been replicated community settings or demonstrated sustained outcomes after intervention withdrawal. The authors sought to replicate positive health a previous randomized effectiveness study of the In SHAPE program across urban organizations serving an ethnically diverse population.Persons with body mass index (BMI) >25 receiving services three were recruited randomly...

Studies conducted in the USA have found individual placement and support model of supported employment to be more effective than traditional vocational rehabilitation at helping people with severe mental illness find maintain competitive employment.To determine effectiveness (supported employment) a Canadian setting.A total 150 adults illness, who were not currently employed desired employment, randomly assigned receive either (n = 75) or services 75).Over 12 months followup, 47% clients...

Objective: Cognitive impairment presents a serious and common obstacle to competitive employment for people with severe mental illness, including those who receive supported employment. This study evaluated cognitive enhancement program improve cognition in illness had not responded Method: In randomized controlled trial, 107 (46% schizophrenia or schizoaffective disorder) obtained kept work despite receiving high-fidelity were assigned either enhanced (with specialized training of...

This study evaluated the feasibility and efficacy of a cognitive remediation program in improving work functioning for intermediate- to long-stay psychiatric inpatients.Eighty-five inpatients with predominantly DSM-IV-defined schizophrenia were randomly assigned or control condition. The consisted 24 hours computerized practice over 12-week period weekly discussion group facilitate transfer skills daily activities. A computer received similar staff exposure without training exercises....

A cognitive-behavioural therapy (CBT) programme designed for post-traumatic stress disorder (PTSD) in people with severe mental illness, including breathing retraining, education and cognitive restructuring, was shown to be more effective than usual services.To evaluate the incremental benefit of adding restructuring retraining components CBT (trial registration: clinicaltrials.gov identifier: NCT00494650).In all, 201 illness PTSD were randomised 12- 16-session or a 3-session brief treatment...

Self-management is promoted as a strategy for improving outcomes serious mental illness well chronic general medical conditions. This study evaluated the feasibility and effectiveness of an eight-month program combining training in self-management both psychiatric illness, including embedded nurse care management.Participants were 71 middle-aged older adults (mean age=60.3 ± 6.5) with conditions who randomly assigned to receive integrated Illness Management Recovery (I-IMR) (N=36) or usual...

Flexible piezoresistive pressure sensors have been attracted a lot of attention due to their simple mechanism, easy fabrication, and convenient signal acquisition analysis. Herein, new flexible sensor based on microstructured electrospun rough polyurethane (PU) nanofibers film is assembled. The PU with tiny bumps prepared in one step via electrospinning technology, which imparts upper surface smooth lower surface. With this unique microstructure, we made it possible for PU/Ag films serve as...

The long-term courses of people with schizophrenia and those substance use disorder have been studied separately extensively. course clients co-occurring schizophrenic disorders has, however, not examined. This article reports 10-year outcomes for 130 in the New Hampshire Dual Diagnosis Study. In addition, we report on 6 "recovery outcomes," identified by dual diagnosis clients, as examples positive coping behaviors. Longitudinal data were modeled using generalized estimating equation (GEE)...

Because use of benzodiazepines may exacerbate existing substance disorders or become abused substances, prescription for patients with severe mental illness (schizophrenia bipolar disorder) and co-occurring (abuse dependence) is controversial. The authors examined benzodiazepine associated psychiatric, abuse, institutional outcomes in a six-year longitudinal study disorders.At baseline yearly follow-up six years, 203 disorder were prospectively assessed medication use, psychiatric symptoms,...